Organization Active NPI

Nurturepath Wellness LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1417764325
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NURTUREPATH WELLNESS LLC
Practice address
920 24TH Ave NE Unit 420
Minneapolis, MN 55418-3485
Phone
(612) 309-5546
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdullahi Abdirahman WarsameNPI 1043092869
Title
Owner
Phone
(612) 309-5546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

920 24TH Ave NE Unit 420
Minneapolis, MN 55418-3485

Mailing address

920 24TH Ave NE Unit 420
Minneapolis, MN 55418-3485
Phone (612) 309-5546

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1417764325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 24TH AVE NE UNIT 420",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183485",
            "telephone_number": "612-309-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 24TH AVE NE UNIT 420",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183485",
            "telephone_number": "612-309-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTUREPATH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-309-5546"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.